district disability rehabilitation centre

District Disability Rehabilitation Centres (DDRC) Establishment of District Disability Rehabilitation Centres in Served Districts of the Country A. BackgroundDuring 1985-1990, District Disability Rehabilitation Centres (DDRCs) started as outreach activity of the Ministry of Social Justice and Empowerment of Government of India for providing comprehensive services to the persons with disabilities at the grass root level and for facilitating creation of the infrastructure and capacity building at the district level for awareness generation, rehabilitation and training of rehabilitation professionals. Suitable changes as were deemed necessary for the PwD Act have been effected accordingly. The District Disability Rehabilitation Centres are set up under the Plan Scheme. “Scheme for implementation of Persons with Disabilities (Equal Opportunities, protection of Rights and Full Participation) Act 1995 (SIPDA). Initially, establishment of DDRCs started as an out reach activity of this Ministry for providing comprehensive services to the persons with disabilities at the grass root level and for facilitating creation of the infrastructure and capacity building at the district level for awareness generation, rehabilitation and training of rehabilitation professionals. B. Objectives of setting up of DDRCSetting up of District Disability Rehabilitation Centres (DDRCs) which would provide rehabilitative support to persons with disabilities through

• Survey & identification of persons with disabilities through camp approach;• Awareness Generation for encouraging and enhancing prevention of disabilities, early detection

and intervention etc.• Early Intervention;• Assessment of need of assistive devices, provision/fitment of assistive devices, follow up/repair

of assistive devices• Therapeutic Services e.g. Physiotherapy, Occupational Therapy, Speech Therapy etc.;• Facilitation of disability certificate, bus passes and other concession/facilities for persons with

disabilities;• Referral and arrangement of surgical correction through Govt. & Charitable institutes;• Arrangement of loans for self-employment, through banks & other financial institutions;• Counseling of persons with disabilities, their parents & family members;• Promotion of barrier free environment;• To provide supportive and complimentary services to promote education, vocational training and

employment for persons with disabilities through:-• Providing orientation training to teachers, community and families• Providing training to persons with disabilities for early motivation and early stimulation for

education, vocational training and employment.

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• Identifying suitable vocations for persons with disabilities, keeping in view local resources anddesigning and providing vocational training and identifying suitable jobs, so as to make themeconomically independent.

• Provide referral services for existing educational training, vocational institutions.C. Procedure for formation of DDRC:

Submission of Proposal for approved DDRC To furnish details as prescribed in the form at Appendix I. Formation of the District Management Team (DMT): The DMT under the Chairmanship of District Collector may be formed which should comprise of officials from Social Welfare/Disabled Welfare, Health, Panchayati Raj, Women and Child Welfare Departments and any other experts which District Collector feels to associate. Each DDRC is to be run under a District Management Team headed by the District Collector and also to include nodal officer from implementing agency and representative from reputed NGOs/ public representatives for better coordination and monitoring. This team will also be the custodian of the assets of the centre. Important functions of the DMT are as follows:

• Selection of registered implementing agencies• Selection/Deployment of Manpower and finalizing their engagement conditions• Monitoring, coordination of activities of DDRC, even after handover• Convergence with other activities of district.• Fixing of charges for various services provided through DDRCs and identifying other means of

resource generation.• Security of assets of DDRC and material received under ADIP etc.• This team may meet once in a month but not less than 4 times in a year.

For CoordinationTo facilitate better coordination, a nodal officer i.e., District Disability RehabilitationOfficerbe identified among the district officials included in the DMT to monitor and coordinatethe activities of DDRCs. DDRO will be responsible for coordination, management andadministration of DDRCs on a day to day basis and will be paid honorarium @ Rs. 2000 p.m.Identification of suitable Implementing Agency by DMT for running DDRC:The implementing agency should preferably be a Red Cross Society or any such autonomous/semi-autonomous bodies of State Govt. or a reputed NGO with a good track record who shouldbe capable of managing the DDRC right from its inception.The functional District Red Cross Societies/registered agencies of State Health Departmentshould be given priority over other NGOs. The DMT through local publicity could call forproposals from the interested registered organizations and then identify the most appropriateamong them.Accommodation for DDRC:The District authorities should identify and allocate as suitable rent-free accommodation forsetting up of DDRC. The building should preferably barrier-free and easily approachable by the


disabled in addition to having electricity and water facility. Minimum space required is 150 sqm approx. Staff for DDRC: Each DDRC may have a maximum of 10 staff members, having specified qualifications, who are paid fixed honorarium as per prescribed norms. The rehabilitation professionals should preferably be registered with Rehabilitation Council of India (RCI). The Scheme does not envisage creation of permanent posts, and staff has to be appointed on honorarium/contractual basis by the Implementing Agency/DMT as far as possible through the local resources in order of priority:-

• Existing professionals of Govt./District hospitals on honorary basis• Existing professionals of Govt./District hospitals on payment of token honorarium• Professionals and others on purely contractual basis.

State Govt. needs to issue necessary instructions and guidelines to the DMT regarding advanceaction, so that personnel are appointed as soon as the DDRC is sanctioned.Admissible manpower and amount of HonorariumEach DDRC would have one each of the following manpower with fixed honorarium andpredetermined qualifications. The rehabilitation professionals should preferably be registeredwith Rehabilitation Council of India (RCI).

S. No. Post

Maximum Honorarium per month (in Rs)

Qualification

1 Clinical Psychologist/ Psychologist

8200 M.Phil in clinical Psychology/MA inPsychology preferably with 2 yearsexperience in the field of disabilityrehabilitation

2 Sr. Physiotherapist/ Occupational therapist

8200 Post Graduate in related field with 5 years experience

3 Orthopaedically Handicapped Sr. Prosthetist/Orthotist

8200 Degree in Prosthetic and Orthotic preferably from National Institute with 5 yrs experience or a diploma in Prosthetic & Orthotic with 6 years’ experience.

4 Prosthetist Orthotist technician

5800 ITI trained with 2/3 years’ experience


S. No. Post

Maximum Honorarium per month (in Rs)

Qualification

5 Sr. speech therapist/ Audiologist

8200 Post graduate in related field/B.Sc (Speech & Hearing)

6 Hearing Assistant/Junior Speech Therapist

5800 Diploma in Speech & Hearing with knowledge of hearing aids repair/ear mould making

7 Mobility Instructor 5800 Matriculation + Certificate/Diploma in Mobility

8 Multipurpose rehabilitation worker

5800 10+2 with diploma in CBR/MRW course or one year diploma course in early childhood special education with two years of experience

9 Accountant cum clerk cum Storekeeper

5800 B.Com/SAS with 2 years’ experience

10 Attendant cum Peon cum Messenger

3800 VIII class Pass

Note:- i)Honoraria to the Rehabilitation professionals of DDRCs located in North-Eastern States, Andaman & Nicobar Islands, Lakshadweep, Puducherry, Daman & Diu and Jammu & Kashmir shall be entitled to 20% more than the honoraria prescribed in respect of the DDRCs of the rest of the country. ii) These Districts are proposed to be set up in unserved districts where it may be difficult to find staff with matching qualification initially. Hence, in case qualified rehabilitation professionals are not available for a while, until such professionals become available, DMT may recruit persons having lower qualification and proportionately reduce its honorarium. However, non-technical persons should not be appointed against technical manpower. Payment could be more in case technically sound persons are available. Admissible grant in aid The break-up of recurring and non-recurring expenditure in respect of One DDRC under the scheme "Implementation of PwD Act" is as follows: (in Rupees lakhs)

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Designation General States per annum

For special areas (NER, J&K, & UTs) -20% increase

Total Honararium 8.10 9.72

Office Expenses/contingencies 2.10 2.10

Equipments (for 1st year only) 7.00 7.00

Total for 1st year 17.20 18.82

Total for 2nd year 10.20 11.82

Total for 3rd year 10.20 11.82

Total exp. 37.60 42.46

In North-Eastern states, Andaman & Nicobar Islands, Lakshadweep, Puducherry, Daman & Diu and Jammu & Kashmir, 20% additional expenditure (i.e., upto Rs, 42.46 lakhs) is permissible. Subsequently, funding shall be through Deendayal Disabled Rehabilitation Scheme (DDRS). In accordance with the provision of tapering in the DDRS, grants-in-aid, as per the prescribed cost norms, are granted upto 90% of the budgeted amount and for the DDRCs in the urban area only, tapering of grants-in-aid is effected after seven years of funding @ 5% every alternate year subject to the condition that no further tapering shall be done beyond 75%. The grant-in-aid to the DDRC shall be released on the basis of single proposal D. Funded Under SIPDA and DDRS Schemes DDRCs are presently funded under the “Scheme for the implementation of Persons with Disabilities (Equal Opportunities, Protection of Rights and Full participation) Act 1995” (SIPDA) for the first 3 years for all States excepts in case of North Eastern States, J&K and the UTs of A&N Islands, lakshadweep, Puducherry, Dadra & Nagar Haveli and daman & Diu where it is funded for 5 years. Thereafter, DDRCs receive funds under another Scheme namely “Deendayal Disabled Rehabilitation Scheme (DDRS). Tapering of grant under DDRC: In the pre-revised Scheme 10% annual tapering of grants after 3/5 years done but under the revised Scheme, tapering of grants to DDRC, after they start receiving funds under the DDRS Scheme would be restricted as follows:

• 5% cut in admissible grant in aid at 2 years interval. • Tapering in grant in aid to not exceed beyond 25% of the admissible cost. • Tapering will not apply to projects in rural areas.


E. Role of State Government State Governments are expected to play a more pro-active role in the effective working of DDRCs. In order to ensure greater involvement of State/District Administration, the State Government may suitably supplement the honorarium and other requirements of the DDRCs for undertaking their various activities in an effective manner. State Governments may authorized District Collectors in their capacity as Chairperson of DMT, to make minor modifications for effective functioning of DDRCs, considering the ground realities within the broad stipulation of the DDRC Scheme. State Government may also authorize the District Collectors to make interim advances out of the local funds placed at their disposal to tide over the difficulties caused in the field due to procedural delays in release of central funds. F. Districts identified and approved

• In the pre-revised scheme 199 DDRCs were approved for setting up in various districts of the country i.e. upto March, 2010. Out of which 185 are functional as per records available with this Department.

• 100 more DDRCs were approved for setting up during 2010-11 onwards. • 15 more DDRCs have been approved in 2012 for setting up in the worst affected by

JE/AES districts in the country (including 4 approved before 2010 but were not set up. • In all DDRCs have been approved for setting up in 310 districts.

G. Equipment i) Equipments required for functional DDRC The equipment for fabrication and fitment of assistive devices related to all kind of disabilities is to be purchased from this scheme. These equipments will range from Electric oven, workshop anvil, physiotherapy equipments, clinical audiometer, speech trainer, workshop tools and some teaching material for the MR children. Non-recurring expense of Rs.7.00 lakhs per DDRC in the first year has been earmarked for the same. Details of equipments are listed at Appendix II. These equipments can also be procured from the ALIMCO (Artificial Limbs Manufacturing Corporation of India, Lucknow Road, Kanpur – an organization under the Department of Disability Affairs). ii) Raw Materials for fabrication of aids & assistive devices as well as prescribed appliances – for persons with disabilities The assistive devices and the material for fabrication of aids and appliances shall be supplied under the ADIP scheme of GOI. The DDRC should annually submit the proposals to the State Govt./UTs in the prescribed proforma along with utilization certificate, audited statement of expenditure, list of beneficiaries, details of aids and appliances procured, or distributed among persons with disabilities and calendar of activities through District Collector for availing grants under this scheme. Maintenance of Project Accounts by DDRC Funding of Honorarium to staff members of the DDRC and the requisite equipment for the DDRC is provided under the SIPDA/DDRS schemes while materials for fabrication and aids and


appliances funds are provided under ADIP scheme, therefore separate accounts be maintained and submitted with the respective proposals. H. Training to Manpower of DDRCs in Coordination with State Govt. The staff of the NGO and DDRCs will be provided orientation and training though National Institutes (NIs) for capacity building so as to enable them to initiate activities as per the approved action plan. NIs would undertake the following training programmes in coordination with State Government:

• One day workshop of District collectors & State govt. officials – Sensitization to disabilities issues, Main Provisions of PWD Act, DDRC scheme and effective delivery through them, sharing of best practices.

• 3 day training for Nodal officers of Implementing agency & Social welfare officers: DDRC Scheme, processing of proposals under ADIP, DDRS etc., maintenance of accounts and other records, facilities, concessions & Schemes for Persons with Disabilities & and important referral addresses

• Up to 15 days in-service training for technical and professional manpower in DDRCs - focus especially on early intervention and follow up, New techniques of treatment & rehabilitation

• Special courses for in-service training courses, which include bridge courses for under-qualified manpower of DDRCs- for 6 months to 1 year sandwich programmes

• Workshop on Communication skills and preparation of educative material • Repairs & maintenance of aids & appliances for Technical staff, multipurpose workers • Exposure visits to CRC/ NIs and other DDRC

The training programmes would range from one to three day sensitization workshops to one week to 15 days refresher training to 1 year sandwich courses for improving the skills of under qualified manpower in DDRCs, while the participants could vary from Senior Govt. officials like Secretary/Directors/District Collectors to District welfare officers/nodal officer to professionals and other manpower deployed in DDRCs. The cost for training of manpower of DDRC would broadly be based as follows: In order to make up delay involved in the release of grants-in-aid under the scheme of Deendayal Disabled Rehabilitation Scheme, District Magistrate shall be competent to provide advance of salaries and office expenses to DDRCs from local resources at the beginning of each year or when there is some delay in release of grants in aid, which could be refunded on receipt of grant-in-aid from the Ministry of Social Justice and Empowerment of Government of India. However, under the General Financial Rules, funds in respect of expenditure incurred under respective scheme can be sanctioned for the past 24 months on the date of sanction. Within the broad framework of the DDRC Scheme, DDRCs run by NGOs shall be free in the matter of manpower selection as per the provision of the scheme and delegation of financial power to the implementing agency. In addition, minor modification in this Scheme to increase State ownership, effective functioning and streamlining the processing of grants-in-aid to DDRCs under State/District authorities shall be permissible.


I. Financial Arrangements A joint account of an Officer of State Government, nominated by District Magistrate as District Disability Rehabilitation Officer of district administration and implementing agency should be opened in the local bank for the receipt of grants. After initial 3/5 years, funds could be placed atthe disposal of implementing agency or continued in the joint account. The decision in this regard could be taken by DMT, based on the implementing agency identified for DDRCs. Proper account for the expenditure on supporting activities will be maintained by each implementing agency under the overall guidance & supervision of DDRO. In addition to the procedures already being followed for suitable account keeping, it must be ensured that: Each implementing agency will maintain a separate account for each of their District Centre. Nodal officers in each of the districts will submit half-yearly accounts on programme activities to the Ministry of Social Justice and Empowerment, GOI, and. J. Action plan of DDRCs

• Action plan of DDRCs should broadly be as follows • Survey of the PwDs and their needs in the districts-10-15 villages per month • Assessment camps at HQ-Twice in a week; • At Civil hospital-once every week • Assessment cum distribution camps at villages-Twice a month • Awareness generation activities like visits to school/awareness camp in villages for various

target groups/training programme of grass root level functionaries-4 times a month. • Follow up camps in villages-4 times a month

Survey of persons with disabilities For initial planning, the details of district data on disabilities, if available, could be transferred to DDRCs viz data could be available with anganwadi workers/other grassroots level workers like ASHA about the disabled persons in each village. The implementing agency should use its discretion in selecting the best possible arrangement for collection of data. As the details of the survey are to be used for Management information system being designed, proforma given at Annexure II is to be used for collection of data. K. Assessment/Fitment/Follow-up and repair of assistive devices

Assessment/Fitment Actual fitment of assistive devices would be one of the major activities of District Centre. A blend of camp approach and institutional approach should be used in fitment of assistive devices. The expenditure on materials/assistive devices should be met out of ADIP Scheme. The implementing agency would be responsible for making exact arrangements and following proper procedure in account keeping, as per the ADIP Scheme. Following points may be noted for its implementation:

• The implementing agency must ensure precise assessment on the requirement of assistive devices:

• While the implementing agency provides the technical inputs, the organizational and logistics


• All persons with disabilities should be assessed on the number and type of assistive devices required.

• Assessment may be done both on continuous basis through District Disability Rehabilitation Centre and at discreet points of time through the camp approach.

• This should be done in collaboration with Anganwadi Workers (AWWs), Health Workers,Parateachers NREGA, Panchayati Raj Institutions, Local NGOs and other grass-root level functionaries. Repair/follow up of assistive devices

• The implementing agency must ensure through rigorous follow-up of persons provided with assistive devices their proper & early repair.

• The district centre should provide for repair services, adjustment and follow-up of assistive devices. A nominal charge for repair of assistive devices should be charged, which can be different for different devices and types of repair.

• Persons with disabilities, who are provided assistive devices, should be categorically informed of the follow up/repair/training services available at the district centres.

• PwDs may also be provided training for effective & correct use of assistive devices and therapeutic services. They may also be given instructions in local language in the form of a pamphlet having sketches/pictures for use and upkeep of the device(s). L. Promotion of Prevention Prevention has been promoted through various National Health Programmes like programmes of Prevention of Blindness, Leprosy etc. as well as various Routine Immunization programmes like Pulse Polio etc. The orientation of these programmes needs to focus not only on prevention of mortality, but also on disability. The District Centres, therefore, need to modify the information dissemination on prevention to emphasize the linkage between Health Programmes & Schemes and prevention of disability. Lack of appropriate nutrition is also known to be a major factor causing disability. Studies indicate that iodine deficiency impairs brain development significantly. Various micronutrient deficiencies account for a large percentage of low birth weight in babies in India. The inadequate gestational weight gain in associated with poor mental and mortal development of surviving infants. Malnutrition during infancy and early childhood is believed to have adverse effects on both physical growth and intellectual performance in later life. Vitamin A deficiency is a major cause of blindness among children. Another important aspect of prevention of disability that needs to be disseminated through the District Centre is environmental sanitation and hygienic living conditions. For example, polluted water can cause growth of poliovirus leading to poliomyelitis resulting in flaccid paralysis. Similarly, unclean water causes Rota virus infection which results in diarrhea. Diarrhea is known to cause growth retardation. Flaccid paralysis can also be caused by insanitary conditions, which propagate the growth of poliomyelitis. Insanitary conditions are known to cause trachoma in eyes which can lead to blindness. Even leprosy can be caused by unsanitary conditions. Unhealthy


and unhygienic food has been found to be cause of poliomyelitis. Thus, DDRCs need to synergize the inputs of Total Sanitation Campaign, Nirmal Gram & other such Central & State Programmes and Schemes on Sanitation with Prevention of Disability particularly School Sanitation Programmes. The District Centres need to collect and collate the information relating to different aspects of prevention of disabilities and disseminate information in the most suitable form and mode, depending on local conditions. The District Centres should, therefore, promote prevention by doing following:

• Converge the activities of AWWs, Health Workers, NGOs in promoting prevention; • Distribute and publicize the information available with the implementing agencies on prevention

and early intervention in local language. The material available with DRCs/National Institutes may be compiled/prepared within two months of launching of the Scheme.

• The implementing agency may undertake orientation of the grassroots level workers including ICDS workers, Health Workers, CBRWs with a focus on identification, prevention and early detection.

• The District Disability Rehabilitation Centre set up and functioning in the areas having high incidence of Japanese Encephalitis (JE)/Acute Encephalitis (AES) must have Multiple Disability Component from the National Institute for Empowerment of Persons with Multiple Disabilities, M/o Social Justice & Empowerment, East Road, Mullukadu, Kancheepuram, Tamil Nadu. M. Early Intervention Early identification of disabilities and early intervention is very important for avoiding secondary disabilities and ensuring successful integration of children with disabilities with other children at all levels. Hence each DDRC must set up an early intervention unit. Parents of children with disabilities must be encouraged to visit these. In addition, low cost intervention using locally available material should be suggested to them for continuing the intervention at place of their residence. N. Barrier Free Environment

• Provision of barrier free environment is the second important compliment of assistive devices for providing accessibility to persons with disabilities;

• All new buildings, especially public sector and public utility e.g. schools and hostels, Panchayat and other Govt. buildings, hospitals, markets, bus stands, parks, public toilets are to be made barrier free, as per the standard bye-laws circulated by Ministry of Urban Affairs and Employment.

• The basic responsibility should be of the local governments. • Public buildings like Collectorate, District hospital, local bus stand, colleges and schools should

be converted into barrier free, to begin with.


• The financial support for Conversion of the buildings into barrier free may be met out of local government funds and/or MPLADS.

• District Centres must be able to provide technical support to implementing agencies. O. Promoting Education/Vocational Training/Placement Education, training and employment are important components of rehabilitation.

• The implementing agency should organize orientation-training programme for teachers/communities/families.

• They may also provide information on suitable vocations, possible job placements and other facilities like soft credit through NHFDC, vocational training through VRCs etc.

• At least one orientation programme of 3 days to a week should be held once in 6 months. P. Progress reports

• Monitoring & Evaluation of the implementation of the programme for establishing District Centres would be done in terms of the activities enlisted above and the targets laid down for them.

• Annual Progress Report with action plan for the next financial year will be sent to Joint Secretary in the Disability Division of the Department of Disability Affairs, Min. of SJ&E. Appendix III.

• Ministry of SJ&E will get functioning of these District Centres evaluated by external agency on sample basis every year.


Appendix-I Application form for grant-in-aid for setting up of District Disability Rehabilitation Centre

1. Name of the State and District where DDRC is to be set up: _____________ 2. Whether District Management Team formed : Yes/No 3. If yes, please attach orders constituting DMT : Yes/No 4. Whether suitable Implementing Agency Identified: Yes/No 5. Details of the Implementing agency :

(a) Name of the Agency (b) Address (c) Telephone/Fax No. (d) E-mail ID (e) PAN/TIN/TAN No. (any one) of IA

6. Whether the agency is registered : Yes/No (a) If yes, the Name of the Act under which registered: (b) Registration No. and date of registration (c) Whether the agency has a valid PWD Certificate: (Attested Copy enclosed)

7. Memorandum of Association and Bye Laws of the Agency (Please attach copy): 8. Details of accommodation for the DDRC:

(a) Proposed location of the DDRC building: (b) Whether building is owned by State Government or rented: (c) Built up Area: (d) No. of rooms: (e) Will the accommodation be used exclusively for this programme: (f) Whether the building is barrier free: (g) Whether easily approachable for the persons with disabilities:

(h) Whether adequate water and electricity facilities are available: 9. Whether steps for manpower deployment initiated: 10. If so, details: 11. Whether Joint Savings Bank Account opened: Yes/No

12. If so the authorization letter of the concerned bank, giving details of bank branch, IFSC code, MICR Code as also other details of Payee' particular like address, e-mail address, etc.


13. Whether Indemnity Bond submitted: 14. List of additional papers, if any, given ( __________________ )

Principal Secretary, Government of ____________ Department of ____________ Government of ____________

Appendix II Non-Recurring Items Purchase/repairs of the following equipment is admissible once in five years.

I Equipments for O.H.

1 Bench grill M/c with all accessories complete 01

2 Bench grinder with all accessories complete 01

3 Electric oven 3'X3'X3' 01

4 ALIMCO Super carver (TE OZ 90) 01

5 ALIMCO Orthovoc (TE OZ 81) 01

6 Big saw (Bosch) 01

7 Apparatus bending bands (TE 2A 01) 01

8 Apparatus bending bands (TE 2A 02) 01

9 Apparatus bending braces (TE 2A 03) 01

10 Big bending stirrups (TE 2A 11) 01

11 Leather sewing machine (Electric drive) 01

12 Bench vice 6" and 4" 04(2+2)

13 Anvil (50 kg. & 20 kg.) 02(1+1)

14 Misc. hand tools for orthotic section 02 sets

15 Misc. hand tools for prosthetic section 02 sets


16 Misc. hand tools for leather padding and shoe 02 sets

17 Work table 6'x3'x32" 02 Nos.

18 Measurement table 7'x2-1/2x32" 01

19 Misc. tools & equipments for measurement and fabrication -

20 Parallel bar 15' long 01

II Physiotherapy / Occupational Therapy Equipment 01

1 Shortwave Diathermy (400 W) 01

2 Motorised intermittent cervical & Lumber traction unit 01

3 Weight Machine 01

4 Static Cycle 01

5 Parafin Wax Unit 01

6 Moist Heat unit (Hydroculator) 01

7 Stimulator 01

8 Interferriantial unit 01

9 Laser therapy 01

10 Shoulder wheel 01

11 Cold pack unit 01

12 Contrast bath 01

13 Inclined sanding unit 01

14 Horizontal sanding unit 01

15 Vertical sanding unit 01

16 Hand function kit 01

17 Different peg boards 01


18 Beach ball 01

III Equipments for V.H.

1 Refraction set -

2 Cataract / glaucoma set -

3 Misc. tools -

IV Equipments for H.H.

1 Clinical audiometer 01

2 Portable audiometer 01

3 Individual speech trainer 01

4 Ear mould material and equipments 01

5 Hearing aids repair kits One set

6 Trial hearing aids -

7 Toys / play / conditioning materials -

8 Therapy & educational toys -

9 Tape recorder 01

V Equipments for M.R.

1 wooden board with 50 holes and 20 rust free galvanized rods 01

2 Durable foam-board No. cards and symbols cards 10

3 Specially designed beads in 6 colours ( in large size and small size) 1 set

4 Educational water proof colour chart of surroundings etc. -

5 1 flash card holder (New Design) 01

6 Educational Pictures card and work card kits (7 water proof picture cards and foam board matching world card in each kit) like for Transport, Playtime, Round Me

1 set


7 Clock face stamps on teakwood base-small, medium, large, oval 1 set

8 Stamps on vegetables on specially designed coloured base. 1 set

9 Stamps of fruits on special base 1 set

10 Stamps of wild animals on special base 1 set

11 Stamps of domestic animals on special base 1 set

12 Stamps of transport on special base 1 set

13 Wooden number strips (1-100) and display folder 10

14 Educational wooden number cards for numbers (1-100), symbols etc. 10

15 Day birdie (A puzzle to learn the days of the week) 01

16 Grown plant (to lean parts of the plant and how they grow) 01

17 Handprints (to learn Nos. 1-5) 01

18 Footprints (to learn Nos.11-20) 01

19 Odd and even duck (to introduce odd and even nos. 1-10) 01

V Equipments for M.R.

20 Lacing kit (3 shapes with eyelets and laces for motor control) 01

21 Footsteps (20 shapes with eyelets and laces for motor control) 01

22 Festivals a story sequence puzzle (Christmas) Festivals. A story sequence Puzzle (Diwali) Festivals. A story sequence puzzle (Ramjan)

01 01 01

23 Seasons (round the year) Kit 1. 1 coloured chart of summer 1 holder 15 word cards kit 2. 1 coloured chart of winter 1 holder 15 word cards kit 3. 1 coloured chart of rainy season 1 holder

1 set


15 word cards seasons kit with all 3 seaons plus holder and 45 words cards

24 What we wear 25 picture cards of clothes 25 word cards of clothes 25 word cards of helping words

1 set

25 Daily living adaptation kit (Samples of 22 items of daily living adapted to suit the requirements of the mentally challenged)

1

26 Toys (used for visual, auditory and tactile stimulation)

27 Therapy ball 1

28 Bolsters 1

29 Balance board 1

30 Comer seat 1

31 Modified chairs (positive and negative) 1

32 Flip charts Vehicles Numbers Vegetables Animals

-

33 Word books Vegetables Fruits Numbers Animals

-

34 Manual for preparation of stimulation material for rural infants and toddlers -


Appendix III. Table 1: QUARTERLY PERFORKMANCE REPORT: PHYSICAL For the quarter ending ………………………….. Name of the implementing Agency :- Name of DDRC and Address : Month of inception: Total No. of Persons benefited: Upto the quarter : ……………………….. During the quarter : …………………….. 1. Therapeutic services delivered (excluding surgeries performed)

Category Up to Last Financial year

During current financial year Total (during current financial year)

Grand Total

Upto last quarter

Present quarter

Orthpaedically handicapped

Mentally handicapped

Visually Handicapped

Hearing Handicapped

Multiple disabilities

Total

2. ADIP related activities:

Provision/Fitment of Assisitive devices ( in units of devices)

Up to Last Financial year


Grand Total

Upto last quarter Present quarter

(a) Wheel Chairs


(b) Tricycles

(c) Aids to the hearing handicapped

(d) Aids to Visually Handicapped

(e) Any other aids and appliances.

(f) Surgeries performed.

(g) Fitment of limbs

Total

Any other follow up services ( in units of services)

3. Training related activities – No. of persons trained.



Grand Total

Upto last quarter

Present quarter

Anganwadi worker

ANM

Teachers

Nurses

Any other

Total

4. Awareness generation (indicate the number of visits/programmes)



During current financial year

Total (during current financial yr)

Grand Total

Upto last quarter

Present quarter

Preparation and free distribution of written material in local language

Radio talk

T.V. coverage through local network

Publication of articles in print media

Visits to school and addressing teachers/ principal and students.

Meeting with parents of disabled children

Meeting with parent of non disabled children

Self help Groups

Others

5. Employment/facilities concession:



Total (during current financial year)

Grand Total

Upto last quarter

Present quarter

Self employed


Employed in Govt./Pvt. Sector.

Provided disability certificate/concession

Admission in regular school

6. Broad activities:



Total (during current financial year)

Grand Total

Upto last quarter

Present quarter

No. of village surveyed

Assessment camps (through camp approach)

Follow up camps ( through camp approach)

No. of meetings of the DMT

Any other – please specify

7. Step taken to handover DDRCs to Red Cross Society/NGOs: 8 If already handed over –

Date of handing over : Name and address of the Agency (Including Tel/Fax No.)

Table 2: Proforma for Staff Position Staff appointed under DDRC : ________________________________ For the quarter _______________________ Therapeutic services delivered (excluding surgeries performed)


Sl.No. Name Designation Qualification Nature of appointment Contractual/Honorarium/Honorary

Honorarium

. Table 3: Proforma for Financial Report Therapeutic services delivered (excluding surgeries performed)

Sub Head Opening balance for the financial year

Grants received during the financial year

Total grants for the financial year

Expenditure till the beginning of the quarter

Expenditure during the quarter

Total expenditure during the financial year

Requirement of grants for the balance period

Equipments

Honorarium

Travel

Contingencies

Table: 4 Funds generated locally Therapeutic services delivered (excluding surgeries performed)

Source of fund Till the Quarter of the current financial year

During the Quarter Total during the the financial year

Through Registration

Donation

Service Charges

Others (Pl. specify)


district disability rehabilitation centre

Documents

district level

prevention of disabilities

implementation of persons

orientation training

referral services

comprehensive services

existing educational

district management